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Original Article
Address for correspondence: Dr. Muhammet Karadas, Recep Tayyip Erdoan niversity, Faculty of Dentitsry, Department of Restorative Dentistry, Rize - 53100,
Turkey. E-mail: muhammet. 2005@hotmail.com
ABSTRACT
Aim: To evaluate color changes of teeth after immersion in tea and cola following the application of
two in-office bleaching products. Materials and Methods: A total of 60 specimens were obtained from
60 extracted sound human maxillary central teeth. The specimens were randomly divided into three
groups (n = 20). Group A was the control group (no bleaching). In Group B, the specimens were bleached
with Opalescence Xtra Boost (Ultradent), and in Group C, they were bleached with Smartbleach (High
Tech Laser). These groups were then divided into two subgroups (n = 10 in each) according to the
colorant solution used: tea and cola. Each bleaching agent was applied to the specimens according to
the manufacturers recommendations. After bleaching, the first color of the specimens was determined
with a spectrophotometer according to the CIELAB color system (E). Following immersion in the
staining solutions, the color was determined after 15 min, 6 h (second day), and 36 h (sixth day), and
the color change values were calculated. The results were analyzed statistically by two-way analysis of
variance (ANOVA) and Tukeys honest significant difference (HSD) test (P < 0.05). Results: The bleached
specimens showed more staining than the unbleached specimens (control group). In all the groups,
the staining was more severe in the cola solutions than in the tea solutions. There were no statistically
differences in staining of the teeth in the control group (P > 0.05). In the specimens bleached with
Smartbleach, staining in cola solution was greater than tea solution and this difference was statistically
significant (P < 0.05). Conclusions: The staining of the bleached specimens was similar in the tea and
cola solutions. The bleached specimens showed more staining than the unbleached specimens. The
staining of the specimens in the tea and cola increased at all the time intervals evaluated.
INTRODUCTION
Cosmetic dentistry has become a significant part
of restorative dental treatment. Having whiter and
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DOI:
10.4103/2321-4619.136643
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Manufacturer
Ultradent, Product Inc,
South Jordan, USA
High Tech Laser for
SBI, Herzele, Belgium
Concentration
38% Hydrogen
peroxide
35% Hydrogen
peroxide
Mean pH
7.0
910
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Statistical analysis
The distribution of the data was checked, and parametric
tests were used for homogeneously distributed data.
The average values of the color parameters (E) were
compared using a two-way analysis of variance (ANOVA)
and Tukeys honest significant difference (HSD)
test (P < 0.05). Statistical analysis was performed using
the Statistical Package for Social Sciences program (SPSS,
version 16.0, Chicago, IL, USA).
RESULTS
The mean values and the standard deviations of E are
represented in Table 2. The bleached specimens showed
more staining than the unbleached specimens (control
group) in the tea and cola solutions at all the time
intervals evaluated and staining in all the groups was
increased. In all the groups, staining in cola solutions
was greater than in the tea solutions, but there was
no statistically significant difference in the staining
between solutions in control group at any of the all time
intervals evaluated (P > 0.05). There were no statistically
significant differences in the staining between the
specimens bleached with Opalescence Xtra Boost after
15 min (P = 0.99), whereas there was a statistically
DISCUSSION
The color change of the bleached teeth stained with
tea and cola was evaluated using an objective method,
a spectrophotometer. Spectrophotometers provide
more reliable results than shade tabs and colorimeters.
However, they are dicult to transport, expensive and
aected by the tooth structure. In addition, it is dicult
to ensure repeatable tooth repositioning, as shown in a
previous study.[16] Changes in tooth color were measured
one day after bleaching treatment to avoid the eects of
dehydration.
Table 2: Mean E and standard deviations (SD) values for
each groups in the solutions
Groups
A
Tea
Cola
B
Tea
Cola
C
Tea
Cola
15 min
6h
36 h
1.140.38A, a
1.320.22A, a
2.250.64A, b
3.361.05AB, b
5.761.28A, c
7.101.70A, c
2.851.27ABC, a
3.201.86BC, a
5.541.67B, b
11.053.27C, b
8.731.94A, c
24.303.65B, c
2.070.76AB, a
3.982.26C, a
3.891.19AB, b
10.552.91C, b
7.561.86A, c
24.922.36B, c
Same letters indicate mean values that are not significantly different; capital letters are
considered in the vertical direction and lowercase letters are considered in the horizontal
direction, SD=Standard deviation
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L
Group AT Group BT Group CT Group AC Group BC Group CC
15 minutes
6 hours
36 hours
7
6
5
4
3
2
1
0
Group AT
Group BT
Group CT
15 minutes
Group AC
6 hours
Group BC
Group CC
36 hours
20
15
10
5
0
6 hours
36 hours
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CONCLUSION
The staining of bleached specimens was almost similar
in the tea and cola solutions. The bleached specimens
showed more staining than the unbleached specimens.
The staining of the specimens in the tea and cola was
increased at all the time intervals evaluated. The
staining in the cola solutions was greater than in the
tea solutions.
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How to cite this article: Karadas M, Tahan E, Demirbuga S, Seven N.
Influence of tea and cola on tooth color after two in-office bleaching
applications. J Res Dent 2014;2:83-7.